Article
Licensed
Unlicensed
Requires Authentication
Misidentification of maternal for fetal heart rate patterns after delivery of the first twin
-
Rutger M. Muñoz Brands
Published/Copyright:
November 10, 2008
Abstract
Background: The 2nd born in twin delivery is at higher risk of fetal asphyxia. We tested the hypothesis that inadequate, fetal heart rate (FHR) monitoring has contributed to an inadvertent outcome.
Study design: A database was reviewed consisting of 41 twin deliveries with a pH in the umbilical artery of the 2nd twin below 7.05. Cardiotocograms were examined for possible signs of a maternal instead of a fetal origin of the heart rate pattern.
Results: In four of the reviewed cases, a good outcome had been anticipated by the attending physician based on the cardiotocogram, whereas the 2nd twin was born with low Apgar scores and a low pH of the umbilical artery. In retrospect it was concluded that the recorded heart rate pattern was of maternal origin. In all four cases the heart rate tracings had characteristics typical for a maternal origin.
Conclusion: Misidentifying the maternal for the fetal heart rate increases the risk that a compromised fetal condition is missed. This occurrence may contribute to the increased incidence of fetal asphyxia in 2nd twins.
Received: 2008-6-30
Accepted: 2008-10-7
Published Online: 2008-11-10
Published Online: 2008-11-10
Published in Print: 2009-03-01
©2009 by Walter de Gruyter Berlin New York
You are currently not able to access this content.
You are currently not able to access this content.
Articles in the same Issue
- Selected articles from the 31st scientific meeting of the New York Perinatal Society on May 19, 2008
- Advanced maternal age as a sole indication for genetic amniocentesis; risk-benefit analysis based on a large database reflecting the current common practice
- Risks for common medical conditions experienced by former preterm infants during toddler years
- Predictors of severe perineal lacerations in Chinese women
- Maternal and neonatal outcomes in early glucose tolerance testing in an obstetric population in New York city
- Original articles – Obstetrics
- Prelabor rupture of membranes at term requiring labor induction – a feature of occult fetal cephalopelvic disproportion?
- Group B Streptococcus colonization in pregnancy: prevalence and prevention strategies of neonatal sepsis
- Preterm labor and bacterial vaginosis-associated bacteria among urban women
- Lipopolysaccharide binding protein in the early diagnosis of intraamniotic infection of pregnant women with premature rupture of the membranes
- Perinatal outcomes after second trimester detection of amniotic fluid viral genome in asymptomatic patients
- Is induced abortion a risk factor in subsequent pregnancy?
- An approach to the prediction of neonatal Erb palsy
- External cephalic version among women with a previous cesarean delivery: report on 36 cases and review of the literature
- Original articles – Fetus
- Reference range of fetal lung volume by 3D-ultrasonography using the rotational method (VOCAL)
- Sex differences in linear and complex fetal heart rate dynamics of normal and acidemic fetuses in the minutes preceding delivery
- Misidentification of maternal for fetal heart rate patterns after delivery of the first twin
- Original articles – Newborn
- Prevalence and risk factors for hypothermia on admission in Nigerian babies <72 h of age
- Influence of sociodemographic and psychosocial characteristics on breastfeeding duration of mothers attending breastfeeding support groups
- Congress Calender
- Congress Calendar
- WAPM-Newsletter 1/2009: Istanbul Declaration on following Ethics in Perinatal Medicine
- WAPM-Newsletter No 1/2009
Articles in the same Issue
- Selected articles from the 31st scientific meeting of the New York Perinatal Society on May 19, 2008
- Advanced maternal age as a sole indication for genetic amniocentesis; risk-benefit analysis based on a large database reflecting the current common practice
- Risks for common medical conditions experienced by former preterm infants during toddler years
- Predictors of severe perineal lacerations in Chinese women
- Maternal and neonatal outcomes in early glucose tolerance testing in an obstetric population in New York city
- Original articles – Obstetrics
- Prelabor rupture of membranes at term requiring labor induction – a feature of occult fetal cephalopelvic disproportion?
- Group B Streptococcus colonization in pregnancy: prevalence and prevention strategies of neonatal sepsis
- Preterm labor and bacterial vaginosis-associated bacteria among urban women
- Lipopolysaccharide binding protein in the early diagnosis of intraamniotic infection of pregnant women with premature rupture of the membranes
- Perinatal outcomes after second trimester detection of amniotic fluid viral genome in asymptomatic patients
- Is induced abortion a risk factor in subsequent pregnancy?
- An approach to the prediction of neonatal Erb palsy
- External cephalic version among women with a previous cesarean delivery: report on 36 cases and review of the literature
- Original articles – Fetus
- Reference range of fetal lung volume by 3D-ultrasonography using the rotational method (VOCAL)
- Sex differences in linear and complex fetal heart rate dynamics of normal and acidemic fetuses in the minutes preceding delivery
- Misidentification of maternal for fetal heart rate patterns after delivery of the first twin
- Original articles – Newborn
- Prevalence and risk factors for hypothermia on admission in Nigerian babies <72 h of age
- Influence of sociodemographic and psychosocial characteristics on breastfeeding duration of mothers attending breastfeeding support groups
- Congress Calender
- Congress Calendar
- WAPM-Newsletter 1/2009: Istanbul Declaration on following Ethics in Perinatal Medicine
- WAPM-Newsletter No 1/2009
